WAKEMED SPECIALISTS GROUP LLC – NPI #1376118398
Clinic/Center

WAKEMED SPECIALISTS GROUP LLC is an AHC clinic located in FUQUAY VARINA, NC. NPPES has assigned the NPI number 1376118398 to WAKEMED SPECIALISTS GROUP LLC on May 21, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WAKEMED SPECIALISTS GROUP LLC below.

NPI Profile for
WAKEMED SPECIALISTS GROUP LLC

NPI Number
1376118398
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WAKEMED SPECIALISTS GROUP LLC
Primary location
231 N JUDD PKWY NE
FUQUAY VARINA, NC 27526-2694
Phone: (919) 235-6560 Fax: (919) 235-6597
Mailing address
PO BOX 603949
CHARLOTTE, NC 28260-3949
Phone: (919) 350-0554 Fax: (919) 350-7687
Organization Subpart
No
Authorized Official
SHONDRA BRINK
VP, WPP OPERATIONS
Phone: (919) 350-6045
Updated
Certification Date
May 12, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.